Our Services
End of Life Care Navigation and Consulting
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Certified Hospice and Palliative Care RN dedicated to providing the highest level of expertise in end of life care
Guidance in care options and services at home
Facilitation of family meetings to support informed decision making
Collaboration with client and family to develop an individualized care plan focused on the physical, emotional and spiritual care needs of the client
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Support and guidance for family caregivers in decision making for the care needs of the client at end of life
Education in the use of comfort medications to ensure symptom management
Education in communication strategies for clients/families and providers
Support and education for caregivers in the home with medication administration, mobility support and comfort care
Education on what to expect as illness progresses
Crisis planning and support during rapid changes in condition
Grief and bereavement support, resources and referrals
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Serving as a liaison between client/family and healthcare providers
Ensuring continuity of care and minimizing fragmentation of care
Advocacy for client-centered and value-based care
Advocacy to ensure client’s wishes are respected and honored
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Goals of Care and Advance Directives discussions with clients and families
Guidance and education to assist client/family to understand Advance Directives and how to proceed and discuss with providers
End of Life Education & Training
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Professional ELNEC Training for Nurses, Social Workers, and Professional Caregivers
End of Life Care Trainings and Education for home care agencies, ALF’s and other long term care facilities
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Webinars and in-person training for family caregivers
Understanding illness progression
Symptom management at home
Emotional resilience and coping strategies
Communication and advocacy skills
Resource guides for navigating end-of-life care at home
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Tailored presentations to meet the needs of a specific group or program
Workshops for clergy, community organizations, and volunteers supporting end-of-life care
Comprehensive RN Care Management
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Comprehensive in home assessments of health status, functional status and safety
Development of an Individualized Care Plan in collaboration with clients, families, and healthcare providers
Medication Review to determine the need for structured medication management and oversight
Coordination with physicians and other healthcare providers
Ongoing monitoring and reassessment to adjust care as needs change
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Coordinate and communicate with multidisciplinary healthcare teams to ensure continuity of care at home
Manage & support with transitions of care between home, hospital or rehab. Discharge planning and follow-up in the home
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Advocate for and act as a liaison between client/family and health care providers to ensure appropriate services and quality care at home